Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Holly Jedlicka, MSW, LISW-S

Individual provider Clinical Social Worker · NPI 1033460480

Holly Jedlicka, MSW, LISW-S is a Clinical Social Worker in Pataskala, Ohio. Qualified in 2007, 19 years ago. Practices with Pbj Connections Inc, a 2-clinician group. Licensed in Ohio.

Years since qualifying
19
Licensed in
OH
In the registry since
2012
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

9800 Jug St NW
Pataskala, OH 43062-8691
Phone: (614) 395-1395
Fax: (740) 927-1516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 1000061 (OH)

Record details

NPI number1033460480
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LISW-S
Sole proprietorYes
NPI enumeratedSeptember 25, 2012
Last updated in NPPESSeptember 25, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Pbj Connections Inc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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